MR. ETHAN JONES MA
NPI 1942738208
Counselor - Professional in Vandalia, IL
- Individual
- Male
- Counselor
- Professional
About ETHAN JONES
This page provides the complete NPI Profile along with additional information for Ethan Jones, a provider established in Vandalia, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1942738208 assigned on May 2017. The practitioner's primary taxonomy code is 101YP2500X with license number 180011408 (IL). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1942738208 Verify this NPI
- Provider Name
- MR. ETHAN JONES MA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 802 N 8TH ST VANDALIA, IL 62471
- Location Phone
- (618) 283-1731
- Mailing Address
- 320 N 2ND ST VANDALIA, IL 62471
- Mailing Phone
- (217) 821-9434
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-31-2017
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Secondary Locations
- 600 E Main St
Salem, IL 62881
(618) 740-0726 - 1121 N 6th St
Vandalia, IL 62471
(618) 283-2222
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 180011408
- License State
- IL
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 178011650 (IL) |
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
VANDALIA, IL 62471
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942738208, enumerated as an "individual" on May 31, 2017.
The provider is located at 802 N 8TH ST VANDALIA, IL 62471 and the phone number is (618) 283-1731.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
